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Douglas Bevilacqua
NPI 1891297883 · on the registry since 2018
Practice
- Address
- 39901 Traditions Dr
Northville, MI 48168 - Phone
- (248) 305-4400
- Fax
- (248) 305-4401
- Organisation at this address
- Regents Of The University Of Michigan
Regents Of The University Of Michgian
Regents Of The University Of MichiganInferred from a shared address, not stated in the registry. - Clinicians at this address
- 82
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan